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Official Updates to Icd-10

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Official Updates to Icd-10 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001 WORLD HEALTH ORGANIZATION Update Reference Committee 30 November 2001 OFFICIAL UPDATES TO ICD-10 The following pages include the official changes to the tabular list, instruction manual and alphabetical index of ICD-10. These changes were approved in principle at the HoC meeting in Washington DC, October 2001. Each change has been uniquely identified and the source for each change has been indicated. The implementation date has also been documented. (Note: Every effort has been made in the following pages to reproduce the content of the ICD-10 in the same format as the published volumes. Page references have not been used in all instances since these do not apply to electronic versions of the Classification. Additions/changes have been indicated through the use of instructions, underline and strikeout). This document is not issued to the general public, and all rights are reserved by the World Health Organization (WHO). The document may not be reviewed, abstracted, quoted, reproduced or translated, in part or in whole, without the prior written permission of WHO. No part of this document may be stored in a retrieval system or transmitted in any form or by any means – electronic, mechanical or other – without the prior written permission of WHO. Page 1 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001 Volume 1 TABULAR LIST Instruction Tabular list entries Source Major/Minor Implementation update date Delete dagger A02.2 † Localized salmonella infections Australia Minor January 2003 Salmonella: (URC:0046) Add dagger . arthritis † (M01.3*) Add dagger . meningitis † (G01*) Add dagger . osteomyelitis † (M90.2*) Add dagger . pneumonia † (J17.0*) Add dagger . renal tubulo-interstitial disease † (N16.0*) Delete dagger A18.1 † Tuberculosis of genitourinary system Tuberculosis of: Add dagger .bladder † (N33.0*) Add dagger .cervix † (N74.0*) Add dagger .kidney † (N29.1*) Add dagger .male genital organs † (N51.-*) Add dagger .ureter † (N29.1*) Add dagger Tuberculous female pelvic inflammatory disease † (N74.1*) Delete dagger A18.5 † Tuberculosis of eye Tuberculous: Add dagger .chorioretinitis † (H32.0*) Add dagger .episcleritis † (H19.0*) Add dagger .interstitial keratitis † (H19.2*) Add dagger .iridocyclitis † (H22.0*) Add dagger .keratoconjunctivitis (interstitial) (phlyctenular) † (H19.2*) Delete dagger A18.6 † Tuberculosis of ear Add dagger Tuberculous otitis media † (H67.0*) Delete dagger A18.8 † Tuberculosis of other specified organs Tuberculosis of: Add dagger .endocardium † (I39.8*) Add dagger .myocardium † (I41.0*) Add dagger .oesophagus † (K23.0*) Add dagger .pericardium † (I32.0*) Add dagger .thyroid gland † (E35.0*) Add dagger Tuberculous cerebral arteritis † (I68.1*) Page 2 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001 Delete dagger A54.2 † Gonococcal pelviperitonitis and other gonococcal genitourinary infections Gonococcal: Add dagger .epididymitis † (N51.1*) Add dagger .female pelvic inflammatory disease † (N74.3*) Add dagger .orchitis † (N51.1*) Add dagger .prostatitis † (N51.0*) Delete dagger A56.1† Chlamydial infection of pelviperitoneum and other genitourinary organs Chlamydial: Add dagger .epididymitis † (N51.1*) Add dagger .female pelvic inflammatory disease † (N74.4*) Add dagger .orchitis † (N51.1*) Delete dagger B00.5† Herpesviral ocular disease Herpesviral: Add dagger .conjunctivitis † (H13.1*) Add dagger .dermatitis of eyelid † (H03.1*) Add dagger .iridocyclitis † (H22.0*) Add dagger .iritis † (H22.0*) Add dagger .keratitis † (H19.1*) Add dagger .keratconjunctivitis † (H19.1*) Add dagger .uveitis, anterior † (H22.0*) Delete dagger B02.3† Zoster ocular disease Zoster: Add dagger .blepharitis † (H03.1*) Add dagger .conjunctivitis † (H13.1*) Add dagger .iridocyclitis † (H22.0*) Add dagger .iritis † (H22.0*) Add dagger .keratitis † (H19.2*) Add dagger .keratoconjunctivitis † (H19.2*) Add dagger .scleritis † (H19.0*) Delete dagger B37.4 † Candidiasis of other urogenital sites Candidal: Add dagger .balanitis † (N51.2*) Add dagger .urethritis † (N37.0*) Page 3 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001 Delete dagger & B57.2 † Chagas disease (chronic) with heart involvement (I41.2*, I98.1*) manifestation Chagas’ disease (chronic) (with): codes .NOS Add dagger .cardiovascular involvement NEC † (I98.1*) Add dagger .myocarditis † (I41.2*) Add dagger and B59† Pneumocystosis (J17.3*) Australia Minor January 2003 manifestation code (URC:0087) I27 Other pulmonary heart diseases Australia Major January 2003 (URC: 0069) Add subcategory I27.2 Other secondary pulmonary hypertension Add instruction Use additional code, if desired, to identify the underlying disease I42.0 Dilated cardiomyopathy UK Major January 2003 Add inclusion term Congestive cardiomyopathy (URC:0099) I42.5 Other restrictive cardiomyopathy Add inclusion term Constrictive cardiomyopathy NOS J38 Diseases of vocal cords and larynx, not elsewhere classified Australia Major January 2003 Delete Excludes Excludes: congenital laryngeal stridor (Q31.4) (URC:0060) note and code Revise and add stridor: (R06.1) exclusion notes and . congenital laryngeal NOS (P28.8) codes . NOS (R06.1) Page 4 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001 K35 Acute appendicitis Australia Minor January 2003 (URC:0077) K35.0 Acute appendicitis with generalized peritonitis Appendicitis (acute) with: .perforation Revise inclusion .peritonitis (generalized) (localized) following rupture or perforation term .rupture K35.9 Acute appendicitis, unspecified Add inclusion term Acute appendicitis with peritonitis, localized or NOS Acute appendicitis without: Add inclusion term .generalized peritonitis .perforation .peritoneal abscess Delete inclusion .peritonitis term .rupture M72 Fibroblastic disorders Australia Major January 2003 (URC: 0081) Delete subcategory M72.3 Nodular fasciitis M72.4 Pseudosarcomatous fibromatosis Add inclusion term Nodular fasciitis Delete subcategory M72.5 Fasciitis, not elsewhere classified Delete exclusion Excludes: fasciitis: note . diffuse (eosinophilic) (M35.4) . nodular (M72.3) . plantar (M72.2) Add subcategory M72.6 Necrotising fasciitis Add instruction Use additional code, if desired, to identify infectious agent Page 5 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001 M72.8 Other fibroblastic disorders Add inclusion term Abscess of fascia Add exclusion note Excludes: fasciitis: . diffuse (eosinophilic) (M35.4) . necrotizing (M72.6) . nodular (M72.4) . perirenal: .NOS (N13.5) .with infection (N13.6) . plantar (M72.2) M72.9 Fibroblastic disorder, unspecified Add inclusion Fasciitis NOS terms Fibromatosis NOS Q31 Congenital malformations of larynx Australia Major January 2003 (URC:0060) Add exclusion note Excludes: congenital laryngeal stridor NOS (P28.8) Delete subcategory Q31.4 Congenital laryngeal stridor Delete inclusion Congenital stridor (larynx) NOS term Add subcategory Q31.5 Congenital laryngomalacia Cleft lip and cleft palate Germany Minor January 2003 (Q35 – Q37) (URC: 0093) Add instructional Use additional code (Q30.2), if desired, to identify associated malformations of the note nose Delete subcategory Q35.6 Cleft palate, medial Germany Major January 2003 (URC:0091) Revise code Q36.1 Cleft lip, median Germany Minor January 2003 description (URC:0092) Revise descriptor Q61.1 Polycystic kidney, autosomal recessive Australia Minor January 2003 Add inclusion term Polycystic kidney, infantile type (URC:0070) Page 6 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001 Revise descriptor Q61.2 Polycystic kidney, autosomal dominant Add inclusion term Polycystic kidney, adult type R06.1 Stridor Australia Major January 2003 (URC:0060) Revise code Excludes: congenital laryngeal stridor (P28.8) R45.8 Other symptoms and signs involving emotional state Australia Major January 2003 Add inclusion term Suicidal ideation (tendencies) (URC:0064) Add excludes note Excludes: suicidal ideation constituting part of a mental disorder (F00-F99) S43.4 Sprain and strain of shoulder joint Australia Major January 2003 Delete parentheses Rotator cuff (capsule) (URC:0090) S76.1 Injury of quadriceps muscle and tendon Germany Major January 2003 Add inclusion term Patellar ligament (tendon) (URC:0034) S83.6 Sprain and strain of other and unspecified parts of knee Delete inclusion Patellar ligament term Add exclusion note Excludes: sprain of patellar ligament (S76.1) S86 Injury of muscle and tendon at lower leg level Revise and Excludes: injury of: muscle and tendon at or below ankle (S96.-) add inclusion terms muscle and tendon at or below ankle (S96.-) patellar ligament (S76.1) Z52.0 Blood donor Australia Minor January 2003 (URC: 0111) Add inclusion note Includes: blood components such as lymphocytes, platelets or stem cells Page 7 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001 Volume 2 INSTRUCTION MANUAL Instruction Instruction manual entries Source Major/Minor Implementation update date Page 32 4.1.3 International form of medical certificate of cause of death Mortality Major January 2003 Reference … Part I of the form is for diseases related to the train of events leading directly to Group death, and Part II is for unrelated but contributory conditions. (URC: 0106) The medical practitioner or other qualified certifier should use his or her clinical Add text judgement in completing the medical certificate of cause of death. Automated systems must not include lists or other prompts to guide
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